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find Author "曹富民" 2 results
  • 胸外科癌症患者围术期低蛋白血症分析

    目的 探索胸外科癌症患者围术期发生低蛋白血症的处理方法。 方法 回顾性分析河北医科大学第四医院2010年3~5月经组织病理学确诊的20例癌症患者的临床资料,其中男9例,女11例;年龄60 (34~78)岁;食管癌14例,肺癌6例。检测患者行常规开放式手术前、后血清白蛋白水平、术后胸腔引流量和引流液中蛋白质含量,行经左胸食管癌切除术11例,经右胸食管癌切除术3例,肺叶切除术6例。 结果 20例患者术后24 h、48 h、72 h平均胸腔引流量分别为512.5 ml、294.0 ml和168.5 ml。行不同术式患者术后24 h胸腔引流量差异有统计学意义(P<0.05)。20例患者术后24 h、48 h、72 h胸腔引流液中平均总蛋白质含量分别为29.9 g/L、27.2 g/L和25.9 g/L。术前和术后第1、3、5 d血清白蛋白含量分别为38.0 g/L、29.0 g/L、23.0 g/L 和25.8 g/L。患者术后第3 d低蛋白血症发生率最高[75.0% (15/20)] 。 结论 胸外科常规开放式手术患者术后低蛋白血症的发生率较高,但白蛋白的补充时机尚需进一步探讨。

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • Multivariate Analysis of Prognostic Risk Factors of Esophageal Squamous Cell Carcinoma after Esophagectomy

    Objective To investigate the prognostic factors of esophageal squamous cell carcinoma(ESCC) by multivariate analysis of clinicopathologic features of ESCC between long-term and short-term survivals after esophagectomy. Methods The clinicopathologic features of randomly selected 126 cases with ESCC were analyzed with binary logistic regression, 48 cases of which was divided into long-term survival group(≥5 years) and 78 cases into short-term survival group(≤1 year) according to the follow-up. Results Under univariate analysis, the differences between two groups on tumor pathologic grading, metastasis to lymph node, depth of tumor invasion and length of tumor were significant (Plt;0.01), however, that on age, gender, location of tumor and status of residues were not (Pgt;0. 05). Multivariate analysis showed that tumor pathologic grading, metastasis to lymph node, depth of tumor invasion and length of tumor correlated with the prognosis of ESCC (Plt;0. 05). Their risk coefficient were 2. 943, 2. 641, 2. 126 and 1. 728, respectively. Age, gender, location of tumor and status of residues did not correlated with the prognosis of ESCC (Pgt;0. 05). Correlation analysis indicated that depth of tumor invasion was positively related to the length of tumor (r=0. 488, Plt;0. 001), metastasis to lymph node was positively related with depth of tumor invasion and tumor pathologic grading (r=0. 216, P=0. 014; r=0. 238, P=0. 007). Conclusions The main prognostic factors of ESCC are tumor pathologic grading, metastasis to lymph nodes, depth of tumor invasion and length of tumor,Tumor pathologic grading is high risk factor for prognosis of ESCC,while length of tumor is low risk factor. Age and gender of patients, location of tumor and status of esophageal residues are non-risk factors.

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
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